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| 신동맥 침범이 있는 소아의 Takayasu 동맥염 |
| 최원규 , 권민중 , 이재승 , 김병길 , 설준희 , 이승규 |
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| Abstract |
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Takayasu arteritis frequently involves the aorta and its major branches resulting in arterial obstruction or aneurysm and is a common cause of reno- vascular hypertension. We selected of 12 patients showing renal involvement among 17 patients had diagnosed with Takayasu arteritis by angiogram since 1985. We performed retrospective analysis of clinical manifestations and therapeutic results. Male to female ratio was 1 to 5 and mean age was 14 years. Previous tuberculosis medication history was noted in 4 cases. Initial clinical presentations were headache, nausea, vomiting and palpitation in order of frequency. Hypertension was noted in all patients. The mean ESR at admission was 56.0±32.0mm/hr and peripheral renin activity was 47.8±46.4ng/ml/ hr. Mean duration of follow-up was 29.6±21.8 mon- ths and showed improved therapeutic result with operation and angioplasty. Takayasu arteritis is a common cause of renovascular hypertension in child- ren. Intervention with operation or angioplasty showed improved results compared to conservative ma- nagement alone. |
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